孕前肥胖及孕期合理饮食对妊娠结局的影响

目的:探讨孕前肥胖及孕期合理饮食对妊娠结局的影响。方法:选择2007年1月~2008年12月在该院就诊并分娩的孕妇727例,分为3组,调查妊娠结局。结果:孕前肥胖孕妇妊娠期高血压疾病、妊娠期糖尿病发生率、总产程延长率、剖宫产率、巨大儿发生率均显著高于正常体重者。孕期合理饮食后,孕前肥胖孕妇孕期体重增长、妊娠期高血压疾病、妊娠期糖尿病发生率、总产程延长率、剖宫产率、巨大儿发生率均显著低于未予饮食指导者。结论:孕前肥胖是造成不良妊娠结局的重要因素,孕期合理饮食有助于控制孕期体重过度增长并降低不良妊娠结局发生率。

The effect of pre-pregnant obesity and reasonable diet during pregnancy on pregnancy outcome

Objective:To investigate the effect of pre-pregnant obesity and reasonable diet during pregnancy on pregnancy outcome.Methods:727 cases of pregnant women were selected during 2007.1～2008.12,who were divided into 3 groups.The pregnancy outcome was investigated.Results:The incidence of hypertensive disorder complicating pregnancy induced,GDM,extension of total stage of labor,operative deliveries and fetal macrosomia were significantly higher in the prenatal obesity group than in the normal group.Compared with the group without reasonable diet,the incidence of above diseases were significantly lower in the group with reasonable diet.Conclusion:Pre-pregnant obesity has direct impact on harmful pregnancy outcome.Reasonable diet during pregnancy is conducive to control too much weight gain during pregnancy and cut down the incidence of harmful pregnancy outcome.